| NPI | 1659672418 |
|---|---|
| Former Name | LANA MARIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 20855) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301996) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2018-08-09 |